Individual
KATHERINE MARIE VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
(203) 621-3700
(203) 621-3711
Mailing address
1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
(203) 621-3700
(203) 621-3711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75322
CT
Other
Enumeration date
04/06/2020
Last updated
08/01/2025
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